05D2301964 CLIA NUMBER - WALGREENS 13834

Laboratory Demographics

  • CLIA Code: 05D2301964
  • Facility Name: WALGREENS 13834
  • Facility Address: 602 EUCLID AVE
    SAN DIEGO, CA
    ZIP 92114
  • Facility Phone: 619 321-1614
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SELINA L. LE
  • NPI Number: 1376933820
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2301964
LAB Type Pharmacy
Facility Name WALGREENS 13834
Street 602 EUCLID AVE
City SAN DIEGO
State CA
ZIP 92114
Phone 619 321-1614
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2024
Certificate Expiration Date 4/2/2026
Facility Type Pharmacy
Lab Director SELINA L. LE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025